| NPI | 1265379861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 46781) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI 431) |
| Enumeration Date | 2026-05-01 |
| Last Update Date | 2026-05-01 |